Nonoperative versus operative treatment for thoracolumbar junction burst fracture without neurologic defict

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Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit

Methods: From 1992 to 1998, forty-seven consecutive patients with a stable thoracolumbar burst fracture and no neurological deficit were evaluated and randomized to one of two treatment groups: operative treatment (posterior or anterior arthrodesis) or nonoperative treatment (a body cast or orthosis). We previously reported the results of follow-up at an average of forty-four months. The curren...

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Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study.

BACKGROUND To our knowledge, a prospective, randomized study comparing operative and nonoperative treatment of a thoracolumbar burst fracture in patients without a neurological deficit has never been performed. Our hypothesis was that operative treatment would lead to superior long-term clinical outcomes. METHODS From 1994 to 1998, forty-seven consecutive patients (thirty-two men and fifteen ...

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Proximal Humeral Fractures: Nonoperative Versus Operative Treatment

Background: Management of displaced proximal humeral fractures is subject of ongoing debate. Objectives: We aimed to review our results of operative treatment of proximal humeral fractures compared to age-, sex, and fracture-type controlled conservative treatment. We hypothesized that there is no significant difference in upper-extremity specific disability between patients treated with operati...

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proximal humeral fractures: nonoperative versus operative treatment

results at follow-up, the nonoperatively treated patients had better functional outcomes than the operatively treated patients. nonoperatively treated patients also scored better on pain intensity and satisfaction. there were no significant differences in cesd, pcs, and sf-36 physical- and mental health summary scores between cohorts. conclusions the results of this study suggest that operative...

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Pedicle Screw Configuration for Thoracolumbar Burst Fracture Treatment: Short versus Long Posterior Fixation Constructs with and without Anterior Column Augmentation

STUDY DESIGN An in-vitro study. PURPOSE The current study is aimed at investigating the differences in stability between short posterior fixation (SPF), hybrid posterior fixation (HPF), and long posterior fixation (LPF) with and without anterior column augmentation using calcium phosphate bone cement (CaP) for treating burst fractures (BFs). OVERVIEW OF LITERATURE The ideal treatment for th...

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ژورنال

عنوان ژورنال: Arquivos de Neuro-Psiquiatria

سال: 2007

ISSN: 1678-4227,0004-282X

DOI: 10.1590/s0004-282x2007000500043